NPI | 1548587371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: ME AC348) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001909) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2011-02-18 |